DR. Micahel Joseph Doherty, DDS

NPI #1699978429 in Brentwood, Missouri

Provider Information

NPI Number: 1699978429
Entity Type: Individual
Name: DR. Micahel Joseph Doherty, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8824 LITZSINGER RD
City: Brentwood
State: Missouri
ZIP Code: 63144-2222
Phone: (314) 961-3221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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